Individual
KASSI LAMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
868 S SHERMAN ST, DENVER, CO 80209-4039
(303) 241-0817
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
191216
CO
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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